Provider Demographics
NPI:1639812662
Name:JOHN, SHEBA BABU (DO)
Entity type:Individual
Prefix:DR
First Name:SHEBA
Middle Name:BABU
Last Name:JOHN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4101 INDIAN SCHOOL RD NE STE 110
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3991
Mailing Address - Country:US
Mailing Address - Phone:505-727-6300
Mailing Address - Fax:505-797-4503
Practice Address - Street 1:4101 INDIAN SCHOOL RD NE STE 110
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3991
Practice Address - Country:US
Practice Address - Phone:505-727-6300
Practice Address - Fax:505-797-4503
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMDO20250074207Q00000X
VA0116036352207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine